Escolar Documentos
Profissional Documentos
Cultura Documentos
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NATIONAL HEADQUARTERS
Post Office Box 23408Baltimore, Maryland 21203
Phone: 410-662-9280 - Fax: 410-662-9281
mstofamnrinc13@verizon.net
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...And ye shall hallow the fiftieth year and proclaim liberty throughout all the land unto all the inhabitants thereof. It shall be a Jubilee unto you, and ye shall
return every man unto his possession and ye shall return every man unto his family..
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CHARTER WARRANT AND DISPENSATION NO. 1099CS# 06-02-1997-5
Articles of Incorporation ID D06438428Office of Secretary of StateBaltimore, Maryland
Form 1099-SS#10105905 - Copy Book 521 - Page 579 - Cook County - Chicago, Illinois - 1928- August 1@ 2:52PM
Form 1099Act 6
DATA SHEET
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EMPLOYMENT
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Salary: ___________________
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Do you consent to a background check? __yes __No. Have you ever been arrested? Yes____ No ___ ,
Type? _________________________________________________________________________________
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Have you ever been arrested for any offense involving domestic violence? Yes___ No _
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Have you ever been convicted of a crime? Yes ___ No ___, Date: _______________________________
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Have you ever been adjudicated mentally incompetent? Yes ___ No ___,
If so when ________________________________, Where? ___________________________________
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Have you ever been convicted of any offense involving the use of alcohol or drugs?
Yes ___ No ___ If so when? ____________________________, Where? _________________________
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Have you ever been convicted of any offenses involving moral turpitude, i.e., theft,
shoplifting, sexual crimes, etc., Yes ___ No ___,
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Which one?_____________________________
Yes ___ No ___ Type?: __________________________
Comments: ____________________________________________________________________________
MILITARY RECORD
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Are you currently serving or participating with a Military Reserve Unit? Yes ___ No ___
___________________________________________________Date:________________
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___________________________________________________Date:________________
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___________________________________________________Date:________________
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___________________________________________________Date:________________
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___________________________________________________Date:________________
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___________________________________________________Date:________________
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___________________________________________________Date:________________
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___________________________________________________Date:________________
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AS A CITIZEN OF THIS MOORISH GOVERNMENT WHAT SKILLS DO YOU HAVE THAT YOU FEEL
WILL BE HELPFUL IN THE BUILDING OF THE MOORISH NATION?
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MOORISH SCIENCE TEMPLE AFFILIATION
Temple Name/No_______________________________________________________________
Grand Sheik: __________________________________________________________________
City/State/Zip:__________________________________________________________________
WARNING
If any person(s), group(s) or companies claiming to represent The Moorish
Science Temple The Divine and National Movement of North America, Inc.,
#13 The Moorish American National Republic in any way, and offering to
sell you such things as the Application for Moorish American Citizenship/
Naturalization paperwork, passports, diplomatic appointments and papers,
titles of nobility, doctorates or other educational titles, business or banking
licenses, driver's licenses, diplomatic motor vehicle license plates, tax shelters, tax ID cards, and the like, etc., please contact the Moorish Bureau of
Investigation at: 410-662-9280, or the Office of the National Secretary at 954
-722-1941, IMMEDIATELY. VIOLATORS WILL BE PROSECUTED TO
THE FULLEST EXTENT OF THE LAW.
Grand Sheik Joel Bratton-Bey, Solicitor General
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Money Order for $125.00 is enclosed; Pay To Order Of: MOORISH SCIENCE TEMPLE
Fee does not apply to children under 13 years old. [ALL FEES NON-REFUNDABLE]
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Two (2) Color Passport Photos are included taken with Red Fez [male] White Turban
[female]
NOTE: Moors wear their Tassel the left side; Turban with ALLAH pin if you
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The attire for the Naturalization Ceremony is all WHITE. Sisters must wear WHITE
Turbans; Brothers must wear their RED Fez. Sisters heads must be totally covered.
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CLEAR COPY of Social Security Card [color copy] [FRONT AND BACK]
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NOTE: PLEASE ONLY SEND COLOR COPIES OF THE REQUESTED DOCUMENTS NO ORIGINALS. SEND
ORIGINAL PASSPORT PICTURES ONLY! PLEASE PRINT YOUR NAME ON BACK OF PICTURE.
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Signature
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...And ye shall hallow the fiftieth year and proclaim liberty throughout all the land unto all the inhabitants thereof. It shall be a Jubilee unto you, and ye shall return
every man unto his possession and ye shall return every man unto his family..
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